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| ID | Type | Description | Link |
|---|---|---|---|
| CNPQ 552266/2005-1 | Other Grant/Funding Number | CNPQ 552266/2005-1 |
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Type 1 diabetes mellitus results from the autoimmune destruction of the insulin producing pancreatic β-cells. The autoimmune response begins months or even years before the presentation of hyperglycemic symptoms. Previous studies with other autoimmune diseases or acute inflammatory diseases testing the effect of the infusion of mesenchymal stem cells showed promising results in regulating immune system and promoting some degree of disease control. The aim of our study is to determine the safety and efficacy of intravenous infusions of mesenchymal stem cells in newly diagnosed type 1 diabetic patients.
Patients from 12 to 35 years old with type I diabetes mellitus proved by anti-pancreatic beta cell antibodies and recently diagnosed (less than 6 weeks) will be included in this study. First, bone marrow derived adult mesenchymal stem cells are collected from a first degree relative and cultured. After that, the patient receive 4 intravenous infusions 1 week apart followed by 4 infusion 4 months apart.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intravenous mesenchymal stem cell | Experimental | This group wil receive 8 intravenous infusions of mesenchymal stem cells. Four infusions 1 week apart and 4 infusions a month apart |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intravenous Mesenchymal stem cell infusion | Biological | Four consecutive intravenous infusions 1 week apart followed by 4 consecutive infusions 1 month apart |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUC C-peptide levels during mixed meal tolerance test | pré-treatment, 6 months, 12 months and then yearly (course of study 7 years) | |
| Safety | The process of analyzing safety data is made daily based on clinical interview, frequent physical examination and general laboratory findings weekly from the first stem cell infusion until 60 months after the last infusion. Chest X-ray will be performed in days 100, 180, 270, 360 after the lest infusion and then every 6 months. Fecal occult blood, alpha pheto protein, beta-human chorionic gonadotropin, carcino-embrionary antigen, abdomen ultrasound will be performed in month 6 and 12 after the last infusion and then yearly. | Every 6 months until death |
| Measure | Description | Time Frame |
|---|---|---|
| Daily insulin use | Daily (course of study is 7 years) | |
| Hemoglobin A1C | 3 months | |
| Anti-GAD titres |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Julio Voltarelli, MD, PhD | Contact | +55 16 2101 9369 | jcvoltar@fmrp.usp.br | |
| Carlos E Couri | Contact | +5516 91495151 | ce.couri@yahoo.com.br |
| Name | Affiliation | Role |
|---|---|---|
| Julio Voltarelli, MD, PhD | University Hospital, School of Medicine of Ribeirão Preto, Brazil | Principal Investigator |
| Carlos E Couri, MD, PhD | University Hospital, School of Medicine of Ribeirão Preto, Brazil | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo | Recruiting | Ribeirão Preto | São Paulo | Brazil |
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| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| D003920 | Diabetes Mellitus |
| D001327 | Autoimmune Diseases |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| Every 6 months |
| Immunologic reconstitution parameters | Yearly (course of study is 7 years) |
| D007154 | Immune System Diseases |